| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.09 | $43.96 | $2,596.46 | |
Aetna
| Professional | $31.09 | $31.09 | $31.40 | |
Cigna
| Facility | $20.41 | $38.50 | $49.82 | |
Cigna
| Professional | $20.41 | $20.41 | $20.41 | |
Horizon BCBS
| Facility | $19.75 | $91.37 | $13,785.00 | |
Horizon BCBS
| Professional | $19.25 | $19.25 | $28.78 | |
United
| Professional | $34.68 | $34.68 | $42.50 |